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Video instructions and help with filling out and completing New york state medicaid enrollment form
In our demo today we'll be going through an application for a family a single mom Josephine and her son Marvin both of them are looking to pay for health care coverage at this point in our scenario Josephine has created an account and has been identity proof in account holders I did our identity proofs so that the marketplace can protect a consumers personal information and privacy on this first page of the application we enter in basic information about the family we ask consumers to include themselves their spouse any children they are taken care of and anyone they will include on their federal tax return Josephine's information was pre-populated from the account creation process to enter in information about Marvin when filling out the application it's important to click on the blue box at the top of the screen if you want the marketplace to see if you qualify for federal financial assistance on the first set of screens we asked for demographic information about each person on the application this information will help the marketplace decide what programs you qualify for we asked about marital status to show you the right plans that you qualify for Josephine's date of birth and social security number are pre-populated from the account creation screen we then asked about her citizenship or immigration status the marketplace needs to know everyone's immigration status who is applying to determine their level of eligibility and to help them get the help that they're entitled to immigration status is made up of different categories we've provided help text to prthe consumer with a guide as to which category they should select in this question we also asked about race and ethnicity while these questions are optional answering them can help us serve communities better giving this information will not affect a consumers eligibility plan choices or access to programs we then asked about pregnancy american indian/alaska native status and disability status we're going to say if Josephine is not pregnant American Indians and Alaska Natives recognized by the US government may qualify for special health care cost sharing and special enrollment periods for our example Josephine is not an American Indian we asked about disability questions so that if someone is disabled or blind they could get additional help through the local departments of Social Services in our example we're going to say that Josephine is not claiming a disability we ask similar questions for Marvin we're going to say Marvin is not single we're going to enter in Marvin's date of birth and then we ask about his social security number we ask for Social Security number for everyone that has one and if they are applying for health care coverage providing their social security number can be helpful even if they don't want health care coverage as it can speed up the application process if Marvin didn't have a Social Security number he could click on I don't have one.